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24 Cards in this Set

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burns
rule of nine
~head/neck - 9%
~anterior trunk - 18%
~posterior trunk - 18%
~arms (9%) - 18%
~legs (18%) - 36%
~perineum - 1%
burns
superficial partial-thickness
~first-degree
~epidermal layer
burns
deep dermal partial-thickness
~second-degree
~epidermal/dermal layers
burns
full-thickness burn
~third/fourth degree
~epidermal, dermal, subQ, nerve endings, muscle, bone
burns
chemical
~acids, alkalies, vesicants
burns
electrical
~lightning, electrical wires
burns
mechanical
~friction
burns
radiation
~xray, sun, nuclear
burns
thermal
~flame, frostbite, scald
burns
TX - immediate
~stop, drop, roll
~airway
~cool water 10mins
~cover lg areas w/clean cloth 2 decr pain
~chem burns: irrigate cont
~transport 2 ER
burns
TX - ER
~est airway
~assessment
~100% O2 if burn occurred in closed area
~fluid balance
~F/C
~NG
~tetanus toxoid
~escharotomy/fasciotomy
burns
TX - hosp
~airway
~aseptic area
~prov fluid replacement
~pain mgmt
~nutritional needs
~prev complications
burns
shock phase
~24-48hrs
~fluid shifts 4m plasma 2 interstitial
~HCT rises
~metab acidosis
~serum K rises
~protein loss
~VS
~mon UO (50-100cc/hr)
~give 1/2 of total fluids in 1st 8hrs
burns
diuretic phase
~post shock phase
~capillary permeability stabilizes
~fluid shifts 4m interstitial 2 plasma
~observe 4 pulm edema
~VS, CVP
~mon output
burns
nutritional needs
~NPO til bowel sounds rtn
~high cal (6000-8000)
~high prot
~prev stress ulcers (Maalox q2hrs)
burns
complications - infection
~reverse iso
~wound care (debridement/hydrotherapy)
~antimicrobial therapy
burns
complications - contractures
~ROM 1st post burn day
burns
complications - respiratory
~airway
~CTDB (cough, turn, deep breathe)
~assess 4 inhalation injury
~4 sulfur dioxide (SO2), give O2
burns
open air/exposure
~ADV:allows 4 drainage of burn exudate
~eschar forms protective covering
~skin easily inspected/ROM easier

~DIS:painful, heat loss
burns
occlusive (pressure) dressings
~ADV:less pain 1st 48hrs
~later, more painful

~DIS:high incidence sepsis
~contractures
burns
topical antimicrobials
~silver nitrate (keratolytic)
~mafenide acetate (sulfamylon)
~silver sulfadiazine (silvadene)
~gentamicin sulfate (garamycin) 0.1%
burns
biologic dressings
~allograft
~xenograft
~amnion
~autograft
burns
pressure dressings
~decr scarring
~wear 12-18mo
~remove only 2 bathe
burns
isolation rm
~100% full body burns
~20yr L leg burn
~2yo 20% body burn
~80yr 30% burn
~40yr w/sooty sputum, nasal singed (check resp)